NPI | 1184105389 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
Additional Taxonomies | 183500000X Pharmacist (Licence: TX 60921) |
Enumeration Date | 2018-08-24 |
Last Update Date | 2023-04-27 |